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目的:观察双黄连粉针治疗麻疹并发肺炎的疗效。方法:随机将81例麻疹并发肺炎患儿分为治疗组42例和对照组39例。治疗组采用双黄连粉针60mg·kg-1/d静滴;对照组用病毒唑10~15mg·kg-1/d静滴。均每日1次。2组其它常规治疗相同,包括应用抗生素、镇静剂、止咳平喘、强心、吸氧、营养支持及雾化吸入法等。结果:治疗组治愈36例(85.7%),有效5例(11.9%),无效1例(2.4%);对照组治愈26例(66.7%),有效9例(23.1%),无效4例(10.2%)。2组治愈率比较有显著性差异(P<0.05)。平均退热、止咳平喘、口罗音消失和住院时间的比较,治疗组均明显优于对照组(P均<0.01)。结论:双黄连粉针治疗麻疹并发肺炎具有症状改善快、肺口罗音消失快、住院时间缩短、无明显毒副作用等特点,故可作为麻疹并发肺炎的首选治疗药物。
Objective: To observe the curative effect of Shuanghuanglian injection on pneumonia. Methods: A total of 81 children with measles complicated with pneumonia were randomly divided into treatment group (n = 42) and control group (n = 39). The treatment group with Shuanghuanglian injection 60mg · kg-1 / d intravenous infusion; control group with ribavirin 10 ~ 15mg · kg-1 / d intravenous infusion. Once a day. The other two groups of other conventional treatment, including the application of antibiotics, sedatives, cough and asthma, cardiac, oxygen, nutritional support and inhalation and so on. Results: The treatment group cured 36 cases (85.7%), effective in 5 cases (11.9%), ineffective in 1 case (2.4%); control group cured 26 cases (66.7%), effective in 9 cases 23.1%), invalid in 4 cases (10.2%). There was significant difference between the two groups (P <0.05). The average fever, cough and asthma, disappearance of oral rales and hospital stay were significantly better than the control group (P all <0.01). Conclusion: Shuanghuanglian powder injection for the treatment of measles complicated with pneumonia has the advantages of rapid improvement of symptoms, rapid disappearance of pulmonary rales, shorter hospital stay and no obvious toxic or side effects. Therefore, shuanghuanglian can be the first choice of treatment for measles complicated with pneumonia.